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Tricare Insurance

lauratro

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ShelterDog64    2,364

ShelterDog64
Posted

We're Tricare Prime, I had my surgery at a MTF. The pre-op pathway was thorough and took a while :)

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NOVAMOM348    20

NOVAMOM348
Posted

I am just starting with Tricare also. Went to my PCM and she sent a referral in. I have been calling to get an update on my referral and have called every day for 10 days. They have taken my number and told me they would call me back twice and haven't gotten a call. Frustrating but, my PCM was super helpful and said I can come to her again with any problems and she will do her best to help.

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100lbs2g0    14

100lbs2g0
Posted

I just had surgery thru Tricare and it was so easy! From the day I saw my PCM for the referral to surgery day it was only 3 months! I was told Tricare is the easiest insurance to gain approval from. My surgeon's office also assigned me a patient advocate who made sure everything was getting checked off the list????

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lauratro    67

lauratro
Posted

We're Tricare Prime, I had my surgery at a MTF. The pre-op pathway was thorough and took a while :)

What did Tricare cover? Did you have to do the 6 month nutrition plan? And what base did you have it done at?

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lauratro    67

lauratro
Posted

I just had surgery thru Tricare and it was so easy! From the day I saw my PCM for the referral to surgery day it was only 3 months! I was told Tricare is the easiest insurance to gain approval from. My surgeon's office also assigned me a patient advocate who made sure everything was getting checked off the list????

Sent from my iPhone using the BariatricPal App

That's awesome! I hope its that smooth for me. However, I have to do a 6 month nutrition plan before surgery

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ShelterDog64    2,364

ShelterDog64
Posted

Everything is covered, since I'm Prime. My PCM documented my prior Weight Watchers losses and that was all I needed. We're at JBLM, there's a huge bariatric program here. Are you Prime or Standard? That will make a difference as to how you're covered.

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100lbs2g0    14

100lbs2g0
Posted

I did not have to do a 6 month nutrition plan. I just had to visit with a NUT who was located in my surgeons office. I just had to have 3 weigh ins and it didn't matter if I gained weight. I actually gained weight after each visit but I just hit the 40BMI mark and couldn't loose if I wanted to be approved

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100lbs2g0    14

100lbs2g0
Posted

I just had surgery thru Tricare and it was so easy! From the day I saw my PCM for the referral to surgery day it was only 3 months! I was told Tricare is the easiest insurance to gain approval from. My surgeon's office also assigned me a patient advocate who made sure everything was getting checked off the list????

Sent from my iPhone using the BariatricPal App

That's awesome! I hope its that smooth for me. However, I have to do a 6 month nutrition plan before surgery

Sent from my SM-N920T using the BariatricPal App

That must be a requirement from your surgeon's office. Unless Tricare South in different. I live in Texas, stationed at Laughlin AFB

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lauratro    67

lauratro
Posted

I just had surgery thru Tricare and it was so easy! From the day I saw my PCM for the referral to surgery day it was only 3 months! I was told Tricare is the easiest insurance to gain approval from. My surgeon's office also assigned me a patient advocate who made sure everything was getting checked off the list????

Sent from my iPhone using the BariatricPal App

That's awesome! I hope its that smooth for me. However, I have to do a 6 month nutrition plan before surgery

Sent from my SM-N920T using the BariatricPal App

That must be a requirement from your surgeon's office. Unless Tricare South in different. I live in Texas, stationed at Laughlin AFB

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Yeah it must be. We just moved from Fort Hood Texas to Fort Lewis Washington

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lauratro    67

lauratro
Posted

Everything is covered, since I'm Prime. My PCM documented my prior Weight Watchers losses and that was all I needed. We're at JBLM, there's a huge bariatric program here. Are you Prime or Standard? That will make a difference as to how you're covered.

I'm Standard and we are also at JBLM! So I have all my appointments off post

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Armygalbonnie    643

Armygalbonnie
Posted

I'm Tricare Prime. First appt was 22 July. My surgeon requires 3 months with NUT, psych eval and physical therapy eval. Tricare South does not require any of this. My last NUT visit is 6 Oct. my paperwork will then be sent to Tricare for surgery approval. Should have surgery early part of Nov. out of pocket I've paid $136. I'll have to pay small fees for the surgery and hospital stay. Less than $100.

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ShelterDog64    2,364

ShelterDog64
Posted

Everything is covered, since I'm Prime. My PCM documented my prior Weight Watchers losses and that was all I needed. We're at JBLM, there's a huge bariatric program here. Are you Prime or Standard? That will make a difference as to how you're covered.

I'm Standard and we are also at JBLM! So I have all my appointments off post

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Its so easy through Prime here, you do all your appts at Madigan as well as the surgery. Where is your surgeon located off post?

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lauratro    67

lauratro
Posted

Everything is covered, since I'm Prime. My PCM documented my prior Weight Watchers losses and that was all I needed. We're at JBLM, there's a huge bariatric program here. Are you Prime or Standard? That will make a difference as to how you're covered.

I'm Standard and we are also at JBLM! So I have all my appointments off post

Sent from my SM-N920T using the BariatricPal App

Its so easy through Prime here, you do all your appts at Madigan as well as the surgery. Where is your surgeon located off post?

I wish we had Prime because I hear it's easier and I've heard great things about Madigan. We actually live like 2 min from it. I'm going to CHI Franciscan

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • LadyVeteran1

      LadyVeteran1

      Sleeve surgery is on April 14th.  I am counting the days!!  Can't wait!
      · 3 replies
      1. Brookie2shoes

        Brookie2shoes

        Me too girl!! Are you in the full liquid diet right now? It’s sooooo hard!

      2. LadyVeteran1

        LadyVeteran1

        Not yet. I was told I only have to do 24 hours of a liquid diet. But I have my pre-op tomorrow so I’m going to confirm if I need to do longer.

      3. buildabetteranna

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        Your so close now! It's gonna be great :) Wishing you a speedy recovery and looking forward to seeing how it goes!

    • buildabetteranna

      buildabetteranna

      Down 33 lbs and slightly stalled, but I'm gonna reevaluate and push through. I started back to work last week after 2 years of being disabled due to mental health as well as my weight. It's a great job and I'm just so happy to have this opportunity at a second chance at life. Hope everyone is having their best journey ❤️ Together, we got this!
      · 2 replies
      1. DaisyChainOz

        DaisyChainOz

        Great work Anna! Keep it up 😁

      2. buildabetteranna

        buildabetteranna

        Thank you ❤️

    • Bashbee91

      Bashbee91

      Hey guys new to the process looking forward to this new life. 
      · 0 replies
      1. This update has no replies.
    • Bugg

      Bugg

      Hi everyone! I’m brand new here. I just went through all my pre-op requirements per my insurance company and now everything has been submitted and I’m just waiting for final approval and my surgery date. I’ve been doing research, watching YouTube videos, TikTok’s, ect.. trying to prepare my mind and what to expect so I’ll be ready for the surgery. I was so sure and so set and so ready and excited. However, now that I’ve done everything & it’s almost here, I am sooooooo scared! I know why I want it bc I’ve tried everything and I just don’t feel like I can lose weight by myself. I’m tired of being overweight my entire life. I’m miserable, but I keep psyching myself out afraid of GERD bc I know how that can be and I don’t want to have to get a bypass after already gaining the courage to even get VSG. I’m scared of complications like I’mgoing to regret doing it and be depressed that I didn’t just be more disciplined and try again to lose the weight on my own even sitting here typing this knowing in my mind i just can’t and don’t possess the discipline. I’m also afraid I won’t be able to handle the restrictions of the sleeve. What do I eat? I don’t know how to eat healthy really and don’t enjoy healthy food. I don’t know how to do this! I feel so defeated!Someone tell me they felt anything similar to this or am I not ready? I thought I was. I am so tired of being sick and tired and so tired of myself and so tired of being stuck and stuck in this body and somebody different on the outside from what I feel inside. I just want to ball up and cry.
      · 1 reply
      1. stevieoriole

        stevieoriole

        Am feeling this right now. My surgery date is 4/1. Sign the consent tomorrow. I feel like I overloaded myself with too much info, too many opinions. Got to the point where I was wondering if I should do this. Then I thought of my reasons for taking this step and that settled my nerves. Still get moments of doubt but am striving forward. Am just going to follow my book from the surgeon. Joined this because I was told by my dietician that I should do this for support

    • buildabetteranna

      buildabetteranna

      over 20 lbs down since4 the pre surgery diet and surgery on the 14th
      · 1 reply
      1. Selina333

        Selina333

        Yay!! Congrats. I know how good that feels. 🤩

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